[Coronary disease: early intervention saves lives. Treatment of acute myocardial infarction in Mantova: results of thirty months of work after the implementation of a province network].
Identifieur interne : 000541 ( PubMed/Corpus ); précédent : 000540; suivant : 000542[Coronary disease: early intervention saves lives. Treatment of acute myocardial infarction in Mantova: results of thirty months of work after the implementation of a province network].
Auteurs : R. Zanini ; M. Romano ; F. Buffoli ; C. Lettieri ; A. Izzo ; N. Baccaglioni ; M. Aroldi ; L. Tomasi ; H. Kuwornu ; P. PepiSource :
- Giornale italiano di nefrologia : organo ufficiale della Società italiana di nefrologia [ 0393-5590 ]
English descriptors
- KwdEn :
- MESH :
- geographic : Italy.
- complications : Coronary Disease.
- etiology : Myocardial Infarction.
- mortality : Coronary Disease, Myocardial Infarction.
- therapy : Coronary Disease, Myocardial Infarction.
- Angioplasty, Balloon, Coronary, Humans, Time Factors.
Abstract
Since June 2001, in the province of Mantova, we have undertaken a program for the management of acute myocardial infarction based on the early assessment of patient risk profiles, concerning telematic connections among care centers and on the optimization of in-hospital and out of hospital critical pathways for access to care.
PubMed: 15786407
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pubmed:15786407Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">[Coronary disease: early intervention saves lives. Treatment of acute myocardial infarction in Mantova: results of thirty months of work after the implementation of a province network].</title><author><name sortKey="Zanini, R" sort="Zanini, R" uniqKey="Zanini R" first="R" last="Zanini">R. Zanini</name><affiliation><nlm:affiliation>Divisione di Cardiologia, Azienda Ospedaliera 'Carlo Poma', Mantova - Italy. cardiomantova@virgilio.it</nlm:affiliation></affiliation></author><author><name sortKey="Romano, M" sort="Romano, M" uniqKey="Romano M" first="M" last="Romano">M. Romano</name></author><author><name sortKey="Buffoli, F" sort="Buffoli, F" uniqKey="Buffoli F" first="F" last="Buffoli">F. Buffoli</name></author><author><name sortKey="Lettieri, C" sort="Lettieri, C" uniqKey="Lettieri C" first="C" last="Lettieri">C. Lettieri</name></author><author><name sortKey="Izzo, A" sort="Izzo, A" uniqKey="Izzo A" first="A" last="Izzo">A. Izzo</name></author><author><name sortKey="Baccaglioni, N" sort="Baccaglioni, N" uniqKey="Baccaglioni N" first="N" last="Baccaglioni">N. Baccaglioni</name></author><author><name sortKey="Aroldi, M" sort="Aroldi, M" uniqKey="Aroldi M" first="M" last="Aroldi">M. Aroldi</name></author><author><name sortKey="Tomasi, L" sort="Tomasi, L" uniqKey="Tomasi L" first="L" last="Tomasi">L. Tomasi</name></author><author><name sortKey="Kuwornu, H" sort="Kuwornu, H" uniqKey="Kuwornu H" first="H" last="Kuwornu">H. Kuwornu</name></author><author><name sortKey="Pepi, P" sort="Pepi, P" uniqKey="Pepi P" first="P" last="Pepi">P. Pepi</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2005 Jan-Feb</MedlineDate></PubDate></date><idno type="RBID">pubmed:15786407</idno><idno type="pmid">15786407</idno><idno type="wicri:Area/PubMed/Corpus">000541</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000541</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Coronary disease: early intervention saves lives. Treatment of acute myocardial infarction in Mantova: results of thirty months of work after the implementation of a province network].</title><author><name sortKey="Zanini, R" sort="Zanini, R" uniqKey="Zanini R" first="R" last="Zanini">R. Zanini</name><affiliation><nlm:affiliation>Divisione di Cardiologia, Azienda Ospedaliera 'Carlo Poma', Mantova - Italy. cardiomantova@virgilio.it</nlm:affiliation></affiliation></author><author><name sortKey="Romano, M" sort="Romano, M" uniqKey="Romano M" first="M" last="Romano">M. Romano</name></author><author><name sortKey="Buffoli, F" sort="Buffoli, F" uniqKey="Buffoli F" first="F" last="Buffoli">F. Buffoli</name></author><author><name sortKey="Lettieri, C" sort="Lettieri, C" uniqKey="Lettieri C" first="C" last="Lettieri">C. Lettieri</name></author><author><name sortKey="Izzo, A" sort="Izzo, A" uniqKey="Izzo A" first="A" last="Izzo">A. Izzo</name></author><author><name sortKey="Baccaglioni, N" sort="Baccaglioni, N" uniqKey="Baccaglioni N" first="N" last="Baccaglioni">N. Baccaglioni</name></author><author><name sortKey="Aroldi, M" sort="Aroldi, M" uniqKey="Aroldi M" first="M" last="Aroldi">M. Aroldi</name></author><author><name sortKey="Tomasi, L" sort="Tomasi, L" uniqKey="Tomasi L" first="L" last="Tomasi">L. Tomasi</name></author><author><name sortKey="Kuwornu, H" sort="Kuwornu, H" uniqKey="Kuwornu H" first="H" last="Kuwornu">H. Kuwornu</name></author><author><name sortKey="Pepi, P" sort="Pepi, P" uniqKey="Pepi P" first="P" last="Pepi">P. Pepi</name></author></analytic><series><title level="j">Giornale italiano di nefrologia : organo ufficiale della Società italiana di nefrologia</title><idno type="ISSN">0393-5590</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Angioplasty, Balloon, Coronary</term><term>Coronary Disease (complications)</term><term>Coronary Disease (mortality)</term><term>Coronary Disease (therapy)</term><term>Humans</term><term>Italy</term><term>Myocardial Infarction (etiology)</term><term>Myocardial Infarction (mortality)</term><term>Myocardial Infarction (therapy)</term><term>Time Factors</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Italy</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Coronary Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Myocardial Infarction</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Coronary Disease</term><term>Myocardial Infarction</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Coronary Disease</term><term>Myocardial Infarction</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Angioplasty, Balloon, Coronary</term><term>Humans</term><term>Time Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Since June 2001, in the province of Mantova, we have undertaken a program for the management of acute myocardial infarction based on the early assessment of patient risk profiles, concerning telematic connections among care centers and on the optimization of in-hospital and out of hospital critical pathways for access to care.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">15786407</PMID><DateCreated><Year>2005</Year><Month>03</Month><Day>23</Day></DateCreated><DateCompleted><Year>2005</Year><Month>06</Month><Day>10</Day></DateCompleted><DateRevised><Year>2010</Year><Month>11</Month><Day>18</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0393-5590</ISSN><JournalIssue CitedMedium="Print"><Volume>22 Suppl 31</Volume><PubDate><MedlineDate>2005 Jan-Feb</MedlineDate></PubDate></JournalIssue><Title>Giornale italiano di nefrologia : organo ufficiale della Società italiana di nefrologia</Title><ISOAbbreviation>G Ital Nefrol</ISOAbbreviation></Journal><ArticleTitle>[Coronary disease: early intervention saves lives. Treatment of acute myocardial infarction in Mantova: results of thirty months of work after the implementation of a province network].</ArticleTitle><Pagination><MedlinePgn>S75-83</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Since June 2001, in the province of Mantova, we have undertaken a program for the management of acute myocardial infarction based on the early assessment of patient risk profiles, concerning telematic connections among care centers and on the optimization of in-hospital and out of hospital critical pathways for access to care.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Our network provides connections among the following centers: advanced life support ambulances, seven hospitals, three coronary care units, one cath lab on call 24 h a day for primary angioplasty, and one thoracic surgery division. This program, through its strong telematic platform, allows the early assessment of myocardial infarction and provides primary angioplasty to all high-risk patients, as fibrinolytic treatment is reserved only for low-risk patients admitted in peripheral hospitals.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Two hundred and eighty patients with acute myocardial infarction were treated with angioplasty; 224 patients (80%) underwent primary angioplasty, 36 patients (13%) facilitated angioplasty and 20 patients (7%) rescue angioplasty. One hundred and thirty-two patients (47%) were first admitted to Mantova Hospital; 78 patients (28%) were referred to Mantova from peripheral hospitals and 70 patients (25%) were directly transported to the cath lab by advanced life support ambulances. Procedural success was obtained in 98% of patients, with 0.4% intraprocedural mortality. In-hospital mortality was 5.7%, while mortality in cardiogenic shock patients was 36%. The recurrence of acute myocardial infarction occurred in 1% of patients and major bleeding occurred in 2.2% of patients. One patient with cardiogenic shock died during transport. Mean door to balloon time was 67 min with a 42% reduction in the 3rd recruitment period.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This program, developed in the setting of a provincial network for the management of acute myocardial infarction, provided primary angioplasty to all high-risk patients, with a high procedural success rate. Within a few months, time to treatment was minimized by the use of telematic facilities.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zanini</LastName><ForeName>R</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Divisione di Cardiologia, Azienda Ospedaliera 'Carlo Poma', Mantova - Italy. cardiomantova@virgilio.it</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Romano</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Buffoli</LastName><ForeName>F</ForeName><Initials>F</Initials></Author><Author ValidYN="Y"><LastName>Lettieri</LastName><ForeName>C</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Izzo</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Baccaglioni</LastName><ForeName>N</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Aroldi</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Tomasi</LastName><ForeName>L</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Kuwornu</LastName><ForeName>H</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Pepi</LastName><ForeName>P</ForeName><Initials>P</Initials></Author></AuthorList><Language>ita</Language><PublicationTypeList><PublicationType UI="D004740">English Abstract</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Malattia coronarica: l'intervento precoce salva la vita. Terapia dell'infarto miocardico acuto a Mantova, risultati di trenta mesi di attivita' dopo l'attivazione di una rete provinciale.</VernacularTitle></Article><MedlineJournalInfo><Country>Italy</Country><MedlineTA>G Ital Nefrol</MedlineTA><NlmUniqueID>9426434</NlmUniqueID><ISSNLinking>0393-5590</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D015906">Angioplasty, Balloon, Coronary</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D003327">Coronary Disease</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000150">complications</QualifierName><QualifierName MajorTopicYN="N" UI="Q000401">mortality</QualifierName><QualifierName MajorTopicYN="N" UI="Q000628">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" Type="Geographic" UI="D007558">Italy</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D009203">Myocardial Infarction</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000209">etiology</QualifierName><QualifierName MajorTopicYN="N" UI="Q000401">mortality</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000628">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013997">Time Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2005</Year><Month>3</Month><Day>24</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2005</Year><Month>6</Month><Day>11</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2005</Year><Month>3</Month><Day>24</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">15786407</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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